# ROBERT L THOMAS MD FCCP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013110659
- **Authorized official:** DR. ROBERT LAL THOMAS MD (OWNER)
- **Authorized official phone:** (843) 549-5599

## Contact information

- **Practice address:** 300 RUBY ST, WALTERBORO, SC 29488-2758
- **Practice address phone:** (843) 549-5599
- **Practice address fax:** (843) 549-5512
- **Mailing address:** 300 RUBY ST, WALTERBORO, SC 29488-2758
- **Mailing address phone:** (843) 549-5599
- **Mailing address fax:** (843) 549-5512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 17150 | SC | — |
| 207RP1001X | Pulmonary Disease Physician | 17150 | SC | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 17150 | SC | — |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 10/11/2024